I used my Silhoutte machine to cut out the card but you can easily do it by hand. (Mmmcrafts has a clear explanation how to do it with a compass.) I used a Fiskar circle cutter to make the smaller circles. I printed out various Pokemon images I found and cut them out. I used a paper spring to attach the Pokemon but you could use foam tape. You can either write out your party information or print it out and cut it to fit.